Otolaryngology Fellowships

Based at: Imperial College Healthcare NHS Trust, London

Surgical Specialty Association approving: ENT UK

Approval period: Initially approved February 2014; reapproved October 2022 - September 2025

Supervisor / Lead Consultant: Mr Alasdair Mace, Consultant Otolaryngologist

Fellowship duration: 12 months

Stated learning outcomes:

• Competence in major head and neck resections.
• Competence in craniofacial approaches to anterior and lateral skull base disease.
• Competence in surgical endoscopy for diagnosis and therapeutic intervention.
• Competence with laser surgery for laryngological/airway, and head and neck disease.
• Competence in local and distant pedicled flaps.
• Understanding of free flap reconstruction and post-operative management.
• Competence in training trainees in the operating theatre, ward and outpatient environments.
• Understanding and involvement in research.
• Understanding of non-surgical management of cancer, including chemoradiotherapy planning and delivery, and rehabilitation of voice and swallowing.

Clinical competencies to be achieved:

• Assessment of head and neck oncology patients.
• Assessment of benign and inflammatory head and neck disease.
• Ability to work in teams i.e. multidisciplinary partners.
• Communication skills with patients and colleagues.

Number of main operations the fellow could expect to be involved in:

• Diagnostic endoscopy - 20
• Salivary gland surgery - 15
• Thyroid surgery - 10
• Neck dissection - 10
• Embryological head and neck disorders eg branchial cysts/tracts/fistula - 5
• Laryngectomy +/- pharyngectomy - 10
• Major Oral cavity and oropharyngeal resections - 5
• Local and distant pedicled reconstruction - 5
• Craniofacial surgery approaches - 5
• Complex revision head and neck surgery - 2
• Lateral temporal bone resections - 2
• Microlaryngoscopy +/- Glottoplasty - 20
• Management of benign salivary diseases and exposure to sialendoscopy - 5

Fellows awarded Fellowship Certificate (dates of Fellowship):

• Jonathan Hughes (Apr 14 - Sept 14)
• Safina Ali (Oct 15 - Feb 16)
• Phoebe Roche (Jun 17 - Jun 18)
• Jag Virk (Jul 18 - Jul 19)
• Akshat Malik (Aug 19 - Oct 20)
• David Allin (Oct 20 - Oct 21)
• Katerina Karamali (Oct 23 - Oct 24)

***The recruitment for this fellowship post will open in August 2024 or February 2025***

Based at: City Hospitals Sunderland NHS Trust

Surgical Specialty Association approving: ENT UK

Approval period: March 2019 – May 2024, subject to monitoring of ST operative availability

Supervisor / Lead Consultant: Mr Francis Stafford, Consultant Otolaryngologist, co-supervisor Miss Helen Cocks, Consultant Head and Neck and Endocrine Surgeon.

Fellowship duration: 12-24 months

Stated learning outcomes and clinical competencies:

• Adenoid and tonsillar pathology in adults 
• Airway obstruction in adults
• aetiology and management of cervical trauma in adults 
• disorders of swallowing 
• aetiology and management of cervical sepsis
• aetiology and management congenital abnormalities of the H&N
• cervical LA in adults
• H&N malignancies
• Investigation and management of the neck lump 
• neoplastic  salivary disease (ex facial nerve grafting and facial -hypoglossal anastomosis, level 1)
• Non neoplastic salivary gland disease
• oral pathology (ex submandibular duct transposition, level 1)
• sleep disordered breathing 
• Thyroid (except revision thyroid) 
• Parathyroid - level 3 

Number of main operations the fellow could expect to be involved in:

The Supervisor states: “Operatively the fellow will be expected to have carried out at least 20 thyroidectomies, 10 parathyroidectomies and 20 neck dissections, be submitting data to the BAETS national audit and be confident to supervise pre CCT trainees in these procedures.”

Fellows awarded Fellowship Certificate (dates of Fellowship):

• Arpita Singh (Jan 23 - Dec 23)

Based at: Deenanath Mangeshkar Hospital & Research Centre, Pune, India

Surgical Specialty Association approving: ENT UK

Approval period: Initially approved December 2016; reapproved March 2020 - May 2023; reapproved June 2023 - May 2026

Supervisor / Lead Consultant: Dr Sachin Gandhi, Director, Department of Laryngology, with Dr. Nilanjan Bhowmick, Consultant ENT Surgeon

Fellowship duration: 12 months

Stated learning outcomes:

• The candidate would be able to independently assess any patient with a voice disorder and formulate a treatment protocol.
• The candidate would be able to independently assess any patient of voice disorder and formulate a treatment protocol.
• The candidate would be able to independently assess swallowing disorders and device management plans.
• The candidate would have understood the instrumental practical economical requirements needed to set up a laryngology clinic.

Clinical competencies to be achieved:

• The candidate should be able to perform microlaryngoscopy.
• The candidate should be able to independently perform laser excision of benign vocal cord lesion such as polyps, nodules etc.
• The candidate should independently perform videostroboscopy.
• The candidate should be able to perform endoscopic swallowing examinations.

Number of main operations the fellow could expect to be involved in:

Numbers for fellows to perform individually in 12 months’ training:

• Microlaryngeal Phonosurgery - 10
• Transoral Laser Cordectomy for BAP - 3
• Thyroarytenoid Myoneurectomy - 2
• Papilloma - 2
• Transoral Laser Surgery for Grade-1 & 2 stenosis - 3
• DL Scopy & Biopsy - 5
• DL Scopy with Dilatation - 5

Fellows awarded Fellowship Certificate (dates of Fellowship):

• Rohan Bidaye (Jul 16 - Jun 17)
• Divyank Bansal (Jul 16 - Jun 17)
• Shashank Gupta (Jul 17 - Jun 18)
• Abren Santocildes (Jul 17 - Jul 18)
• Arun KC (Jul 18 - Jun 19)
• Supreetha Shenoy (Jul 18 - Jul 19)
• Subash Bhatta (Jul 19 - Jun 20)
• Dushyanth Ganesuni (Jul 19 - May 20)
• Asheesh Dora G.B.K (Jul 19 - Apr 20)
• Puneeth PJ (Jan 21 - Mar 22)
• Fariyal A. Al-Balushi (Jan 21 - Mar 22)
• Madhav Koka (Apr 22 - Mar 23)
• Darshil Vaishnav (Apr 22 - Apr 23)
• Heba Wahedi (Apr 22 - Mar 23)
• Sachin Goel (Apr 23 - Mar 24)
• Nidhin SB (Apr 23 - Nov 24)

Based at: Guy’s and St Thomas’ NHS Foundation Trust, London

Surgical Specialty Association approving: ENT UK

Approval period: March 2022 - February 2025

Supervisor / Lead Consultant: Mr Yakubu Karagama, Consultant ENT Surgeon and Laryngologist, with Miss Elfy Chevretton, Consultant ENT Surgeon and Laryngologist

Fellowship duration: 12 months

Stated learning outcomes:

The fellow will have competence in:

• Performing flexible and rigid video laryngoscopy and stroboscopy.
• Understanding acoustic voice assessment and analysis.
• Transnasal oesophagoscopy in office under local anaesthetic.
• Office laser laryngeal procedure.
• Microlaryngeal procedures.
• Panendoscopy.
• Vocal cord injection in the office under local anaesthetic and in the operating room.
• Laryngeal framework surgeries.
• Endoscopic management of laryngeal disorders.
• Neurolaryngology- Laryngeal reinnervation and management of spasmodic dysphonia.
• Management of laryngotracheal stenosis.
• Assessment and management of dysphonia, dysphagia and both acute and chronic airway obstruction.

Clinical competencies to be achieved:

• Clinical assessment of patients presenting with airway, voice and swallowing problems.
• Assessment of patients with compromised airway.
• Investigations and management of patients with airway, voice and swallowing disorders.
• Multidisciplinary teamwork.

Number of main operations the fellow could expect to be involved in:

The main operations the Fellow will be involved in, and the approximate number of these in which the Fellow could expect to be the principal / independent operator (indicated in brackets):

• Microlaryngoscopy and attention to laryngeal lesions (50)
• Panendoscopy (15)
• CO2 Laser cricothyroid myotomy for pharyngeal pouch (8)
• Laryngeal framework surgery- Isshiki type 1 thyroplasty (12)
• Injection laryngoplasty (20)
• Recurrent laryngeal nerve reinnervation (8)
• Botulinum injections under local and general anaesthesia to the larynx for spasmodic dysphonia (15)
• Botulinum injections under local and general anaesthesia to the pharynx for pharyngeal spasm (10)
• Transnasal oesophagoscopy and balloon dilation in the office (10)
• Laser laryngeal procedures in the office under local anaesthetic (12)
• Endoscopic airway procedures including the use of laser and balloon dilatation (6)
• Microlaryngoscopy and laser division of laryngeal scarring, stenoses and webs with balloon dilation under general anaesthesia (12)

Fellows awarded Fellowship Certificate (dates of Fellowship):

• Natalie Watson (Apr 21 - Apr 22)
• Shiying Hey (Apr 22 - Sep 23)
• Carlo Robotti (Oct 23 - Oct24)

Based at: Charing Cross Hospital and Royal Brompton Hospital, London

Surgical Specialty Association approving: ENT UK

Approval period: Initially approved February 2013; reapproved March 2016; reapproved June 2019 - August 2022; reapproved September 2023 - August 2026

Supervisor / Lead Consultant: Mr Guri Sandhu, Consultant Otolaryngologist, with Mr Chad Al Yaghchi, Consultant Laryngologist

Fellowship duration: 12 months

Stated learning outcomes:

• Competence in rigid, flexible and chip-tip digital stroboscopy.
• Competence in and understanding of acoustic voice analysis.
• Competence in performing rigid and flexible oesophagoscopy and endoscopic biopsies and procedures.
• Competence in microlaryngeal procedures including injection glottoplasty and thyroplasty.
• Assessment and management of neurolaryngological disorders including the use of botox.
• Learn indications for and techniques in open procedures to restore the normal voice.
• Be competent in the endoscopic approach to airway assessment and surgery and post-operative care.
• Competent in the open surgical techniques for laryngotracheal reconstruction assessment and management of dysphagia.
• Laryngeal re-innervation approaches.

Clinical competencies to be achieved:

• Assessment of the voice of patient and multidisciplinary team management.
• Assessment of the airway compromised patient, patient safety and appropriate investigations and treatments.
• Assessment and appropriate investigations and treatment of swallowing problems.
• Team working.

Number of main operations the fellow could expect to be involved in:

Supervisor states:

“In this post, the fellow will be expected to perform approximately 600 cases in the 12 months of the fellowship. Over 50% of the referrals are tertiary.  It is expected that of the 600 general anaesthesia operations, 200 would be classed as ‘Performed’, i.e. unsupervised. This comprises of routine microlaryngoscopy for benign vocal cord pathologies (cysts, nodules and polyps, dysplasia and papilomatosis etc) including use of the laser and microdebrider. Endoscopic airway procedures to the laser, balloon dilatation and microdebrider. Open procedures include the majority of benign head and neck operations but principally thyroplasties for cord palsies and gender voice change (75 cases per year). Complex airway procedures include tracheal resections and laryngotracheal reconstructions (36 cases/year). There is an ENT daycare procedures room attached to the outpatient clinic. This allows for local anaesthetic outpatient clinics. Procedures include laryngeal biopsies, injection medialisation, Botox injections, Blue laser and KTP clinic based procedures, laryngeal EMG as well as trans-nasal oesophagoscopy. Currently there are 400 daycase laryngeal procedures per year and the fellow will undertake at least 200 per year supervised.” 

Fellows awarded Fellowship Certificate (dates of fellowship):

• Jonathan Hughes (Oct 13 - Mar 14)
• Andrew Kinshuck (May 16 - Apr 17)
• Rohan Bidaye (May 18 - May 19)
• Anthony Rotman (May 19 - May 20)
• Gerard Thong (Jun 20 - Oct 21)
• Matthew Cherko (Oct 21 - Oct 22)
• Emilia Dronkers (Oct 22 - Oct 23)
• Albaraa Tonkal (Oct 23 - Oct 24)

Based at: University College London Hospitals NHS Foundation Trust

Surgical Specialty Association approving: ENT UK

Approval period: Initially approved June 2024 – May 2027

Supervisor / Lead Consultant: Professor Martin Birchall, Professor of Laryngology, UCL and UCLH and Mr Jonathan Fishman, Co-Lead, Clinical Lead for Laryngology, RNENT.

Fellowship duration: 12 months

Stated learning outcomes:

• Able to take an advanced history
• Able to perform nasendoscopy and stroboscopy to postgraduate levels
• Able to carry out transnasal oesophagoscopy in outpatients
• Able to perform laryngeal injections in outpatients (Botox and medialisation)
• Able to perform endoscopic general anaesthetic procedures to tertiary standard (including laser work)
• Able to perform open general anaesthetic procedures to tertiary standard (e.g. thyroplasty)
• Understanding of voice therapy techniques
• Understanding of swallowing assessment, including videofluoroscopy interpretation
• Understanding of oesophageal disorders/reflux from GI perspective (joint GI sessions)
• Understanding of neurological conditions affecting head and neck (joint RHNN sessions)

Clinical competencies to be achieved:

• Viedostroboscopy
• Transnasal oesophagoscopy
• Outpatient-based laryngeal injection
• Outpatient LEMG
• Swallowing assessment including FEES and VF

Number of main operations the fellow could expect to be involved in:

• Microlaryngoscopy +/- laser (Performed: 50).
• Injection medialisation (Performed: 15)
• Open Thyroplasty (any type) (Performed: 3)
• Endoscopic management of tracheal stenosis (Performed: 10)
• Flexible oesophagoscopy +/- dilatation +/- biopsy (Performed: 20)

***This fellowship scheme is under departmental change and currently not available for recruitment until further notice***

Based at: Guys & St Thomas' Hospital NHS Foundation Trust, London

Surgical Specialty Association approving: ENT UK

Approval period: Initially approved February 2013; reapproved July 2017; reapproved June 2021 - May 2024

Supervisor / Lead Consultant: Mr Aleix Rovira and Rafal Niziol, Consultant Otorhinolaryngologists, with Mr Richard Oakley, Consultant and Clinical Lead for Head and Neck Surgical Oncology

Fellowship duration: 12 months

Stated learning outcomes:

• To achieve all clinical and surgical skills to become a modern head and neck oncological surgeon.
• To achieve the development of a special interest in Head and Neck Surgery.

Clinical competencies to be achieved:

• To be competent in the evaluation and diagnosis of head and neck cancer patients.
• To be competent in the standard surgical ablative procedures in head and neck cancer.

Number of main operations the fellow could expect to be involved in:

The fellows get three full operating days a week and they will do an average of 150 major head and neck resections a year as a first surgeon.

Fellows awarded Fellowship Certificate (dates of Fellowship):

• Matthew Cronin (May 13 - Jul 14)
• Safina Ali (Jul 14 - Sept 15)
• Kevin Smith (Jul 15 - Jun 16)
• Kenneth Muscat (Jul 16 - Jun 17)
• Aleix Rovira-Casas (Jun 17 - Jun 18)
• Luigi Volpini (Jul 18 - Jul 19)
• Georgios Oikonomou (Jul 19- Jun 20)
• Aina Brunet Garcia (Jul 20 - Aug 21)

Based at: HealthCare Global Cancer Centre, Bangalore

Surgical Specialty Association approving: ENT UK

Approval period: January 2019 - March 2022; reapproved March 2023 - February 2026

Supervisor / Lead Consultant: Professor Vishal Rao, Head of Department for Head Neck Surgical Oncology

Fellowship duration: 18 months

Stated learning outcomes:

• Clinical head and neck oncology
• Reconstructive surgery
• Training in ancillary specialties
• Cancer prevention and community oncology
• Teaching and Seminars
• Multidisciplinary Tumour Board exposure

Clinical competencies to be achieved:

• Performing office endoscope
• Performing minor procedures such as DL copy and ML copy biopsy
• Performing major surgical procedure neck dissection, mandibulectomy
• Post operative management including rehabilitation
• Planning adjuvant therapies

Number of main operations the fellow could expect to be involved in:

• Diagnostic Endoscopies - 30
• Neck dissections - 35
• Microlaryngoscopy - 30
• Thyroidectomies - 10
• Laryngectomies - 10
• Oral cavity resections - 20
• Complex/recurrent disease - 5
• Local and distant flaps - 10

Fellows awarded Fellowship Certificate (dates of Fellowship):

• Anand Subash (Jan 2018 - Jun 2019)
• Bharghaw Ilapakurty (Sept 18 - Feb 20)
• Nagarajuna Reddy (Sept 18 - Feb 20)
• Joshna B.M. (Sept 19 - Mar 21)
• N Apoorva Reddy (Sept 19 - Mar 21)
• Anu Joy (Nov 20 - Mar 22)
• Indu V P (Oct 20 - Feb 22)
• Radhika V Lal (Sep 21 - Mar 23)
• Harsh Suri (Sep 21 - Mar 23)
• Smita Hegde (Sep 22 - Jan 24)
• Abhishek Subodhai (Oct 22 - Jan 24)

Based at: HealthCare Global Cancer Centre, Bangalore

Surgical Specialty Association approving: ENT UK

Approval period: October 2021 - September 2024

Supervisor / Lead Consultant: Professor Vishal Rao, Head of Department for Head Neck Surgical Oncology

Fellowship duration: 18 months

Stated learning outcomes:

At the end of the training period, the candidates are expected to have in-depth knowledge, skills and attitude to take up an academic career in head and neck oncology and leadership positions in the field.

Clinical competencies to be achieved:

• To be competent in the evaluation and diagnosis of oral cancer patients.
• To be competent in the standard surgical ablative procedures for the treatment of oral cancer.

Number of main operations the fellow could expect to be involved in:

• Diagnostic Endoscopies - 30
• Neck dissections - 35
• Laser excisions - 30
• Glossectomies- hemi/partial/total - 20
• Composite resections-mandible/maxilla/buccal mucosa - 20
• Complex/recurrent disease - 5
• Local and distant flaps - 10

Fellows awarded Fellowship Certificate (dates of Fellowship):

• Yash Merchant (Sep 19 - Mar 22)
• Shameekcha Mishra (Sep 20 - Mar 22)
• Bhanu Prakash Bylapudi (Sep 20 - Mar 22)
• Raj Lakshmi (Sep 21 - Mar 23)
• Sanah Tazeen (Sep 21 - Mar 23)
• Parvathy Reghunadhan (Oct 22 - Jan 24)
  

Based at: Alder Hey Children's NHS Foundation Trust, Liverpool 

Surgical Specialty Association approving: ENT UK

Approval period: Initially approved: October 2018; reapproved March 2022 - February 2025

Supervisor / Lead Consultant: Mr Ravi Sharma, Consultant Paediatric Otolaryngologist and Clinical Director for ENT and Audiology, with Miss Sujata De, Consultant Paediatric ENT Surgeon and Craniofacial Lead

Fellowship duration: 12 months

Stated learning outcomes:

• Develop skills and knowledge in complex tertiary level paediatric otolaryngology.
• Develop experience in complex paediatric airway, otology and head and neck surgery.

Clinical competencies to be achieved:

• To attend and manage patients in multidisciplinary subspecialty clinics under consultant supervision (Down’s clinic, craniofacial clinic, cleft clinic, complex breathlessness clinic, complex airways clinic).
• To perform approximately 400 cases in the 12 months of the Fellowship. It is expected that of these 400 operations, 300 would be classed as ‘Performed’, i.e. unsupervised. This comprises of routine ear, nose and throat surgery such as coblation adenotonsillectomy (150 cases/year) and grommets (30 cases/year), and more complex tertiary level paediatric ENT surgery.
• To supervise junior specialty trainees on the regional rotation undertaking surgery commensurate to their level of training.

Number of main operations the fellow could expect to be involved in:

Supervisor states: "In this post, the fellow will be expected to perform approximately 400 cases in the 12 months of the Fellowship. It is expected that of these 400 operations, 300 would be classed as ‘Performed’, i.e. unsupervised."

This comprises:

• Routine ear, nose and throat surgery: coblation adenotonsillectomy (150 cases/year) and grommets (30 cases/year).
• Emergency procedures: removal of foreign body in aerodigestive tract, post tonsillectomy bleed, drainage of neck abscess, approximately 30 cases/year.

Complex tertiary level paediatric ENT surgery:

• Middle ear procedures: approximately 35 per year, including endoscopic tympanoplasty and tympanomastoid surgery.
• Paediatric rhinology procedures: approximately 20 cases per year, including balloon sinuplasty, endoscopic dacryocystorhinostomy, choanal atresia repair.
• Paediatric airway: over 50 cases per year microlaryngotracheobronchoscopies (MLTBs) during the Fellowship year, of which 80% will be ‘Performed’ or ‘Supervisor Unscrubbed’. They will also be expected to perform approximately 5 paediatric tracheostomies, of which 50% will be ‘Performed’ or ‘Supervisor Unscrubbed’

In addition, there will be an opportunity to undertake more uncommon complex paediatric procedures including BAHA surgery, anterior skull base surgeries – (CSF leak repairs/ Pituitary tumours/ Juvenile Angiofibroma) and head and neck reconstructive procedures such as complex laryngotracheal surgery, trachea-cutaneous fistula closure, Sialendoscopy, branchial anomaly surgery).

Fellows awarded Fellowship Certificate (dates of Fellowship):

• Grace Khong (Aug 18 - Aug 19)
• Smadar Atsmoni (Jul 20 - Jul 21)
• Dillan Shetty (Aug 21 - Jul 22)
• Israel Ofer (Aug 23 - Jul 24)

***The recruitment for this fellowship post is advertised in November or December each year. To apply please visit the NHS website***

Based at: Charing Cross Hospital & Royal Brompton Hospital, London

Surgical Specialty Association approving: ENT UK

Approval period: Initially approved October 2013; reapproved July 2017; reapproved April 2021 - March 2024

Supervisor / Lead Consultant: Prof Hesham Saleh, Consultant Rhinologist and Professor of Practice in Rhinology, with Miss Cath Rennie and Mr Mark Ferguson, Consultant ENT Surgeons

Fellowship duration: 12 months

Stated learning outcomes:

• Knowledge: competent in managing complex Rhinology cases in outpatient setting
• Practical: competent to operate independently
• Minimum of 50 rhinoplasties
• Minimum of 50 rhinology cases
• Minimum of 20 anterior skullbase surgery cases (optional, according to the Fellow's interests)
  
• Personal & professional skills: work effectively within a clinical team
• Personal & professional skills: participate in clinical governance and audit within the departments
• Minimum of one complete audit
• Minimum of four presentations
• Minimum of four publications in peer reviewed journals.

Clinical competencies to be achieved:

• Competence in managing Rhinology patients within the outpatient setting
• To operate independently

Number of main operations the fellow could expect to be involved in:

See Learning Outcomes above

Fellows awarded Fellowship Certificate (dates of Fellowship):

• Matthew Magarey (Aug 13 - Mar 14)
• Catherine Rennie (Nov 16 - Nov 17)
• Mark Ferguson (Oct 18 - Sept 19)
• Samit Unadkat (Oct 19 - Sept 20)
• Annakan Navaratnam (Oct 21 - Sep 22)

Based at: Aintree University Hospital NHS Foundation Trust

Surgical Specialty Association approving: ENT UK

Approval period: July 2016 - June 2019; reapproved September 2019 - November 2022; reapproved December 2022 - November 2025

Supervisor / Lead Consultant: Supervisor Mr Samuel Leong, Consultant ENT Surgeon; Co-supervisor Mr Andrew Swift, Consultant Rhinologist and ENT Surgeon

Fellowship duration: 12 months

Stated learning outcomes:

• To competently manage patients with chronic rhinosinusitis and other sinonasal conditions.
• To be able to independently undertake a variety of surgical procedures specific to rhinology including endoscopic sinus surgery, septoplasty and management of the hypertrophic inferior turbinate.
• To be able to assess patients who require rhinoplasty and formulate appropriate surgical plans.
• To gain exposure and experience to the anterior skull base and extended endoscopic anterior skull base surgery.
• To be competent in the use of image guidance systems and understand the role of this technology in surgical rhinology.
• To appreciate the role of a facial plastic surgeon within a skull base team in the management of facial paralysis.
• To share responsibility for the ORL-HNS service with the other Registrars/ Specialty Doctors supported by the Consultants.

Clinical competencies to be achieved:

• Ability to diagnose, manage and counsel patients with rhinological conditions.
• Undertake sinus, septal and nasal surgery as an independent clinician.
• Ability to recognise complications of rhinological conditions and iatrogenic surgical complications, and undertake necessary management including onward referral.

Number of main operations the fellow could expect to be involved in:

Over a 12-month period: supervised | performed

• Septoplasty: 20 | 35
• Turbinate reduction (endoscopic): 15 | 45
• FESS: 35 | 40
• Septorhinoplasty: 10 | 10
• Frontal sinus surgery (Draf 2, 3): 6 | 6
• Resection of nasal tumour (endoscopic): 15 | 20
• CSF leak repair: 3 | 3

Fellows awarded Fellowship Certificate (dates of Fellowship):

• Grace Khong (Aug 17 - Jul 18)
• Gaurav Shankar Medikeri (Aug 18 - Aug 19)
• Richard Green (Aug 19 - Mar 20)
• Dafna Ger Milk (Aug 20 - Aug 22)
• Aiman Elmograbi (Aug 22 - Jul 23)
• Stephen Williams (Aug 23 - Aug 24)

• To become competent in managing complex Rhinology cases in outpatient setting, including those with facial paralysis, chronic rhinosinusitis, nasal blockage and other sinonasal conditions.
• To be able to independently undertake a variety of surgical procedures specific to rhinology including functional septorhinoplasty, endoscopic sinus surgery, septoplasty and management of the hypertrophic inferior turbinate.
• To be able to assess patients who require rhinoplasty and formulate appropriate surgical plans.
• To gain exposure and experience to the anterior skull base and extended endoscopic anterior skull base surgery.
• To be competent in the use of image guidance systems and understand the role of this technology in surgical rhinology.
• To appreciate the role of a facial plastic surgeon within a skull base team in the management of facial paralysis and be involved in the use of botulinum toxin and assist in statis/dynamic facial function operations.
• To share responsibility for the ORL-HNS service with the other Registrars/Fellows supported by the Consultants.
• Minimum of 50 septorhinoplasties as main or lead surgeon.
• Minimum of 50 other/general rhinology cases as main or lead surgeon.
• Minimum of 20 specialist rhinology/mucosal disease or anterior skullbase surgery cases (optional, according to the Fellow's interests).

• Able to perform a functional septorhinoplasty as main/lead surgeon.
• Able to perform a full-house fess as main/lead surgeon.
• Able to diagnose and manage mucosal diseases of the sinonasal cavity.
• Able to perform botulinum toxin injections for patients with facial paralysis in the MDT clinic.

• Septorhinoplasty (Performed: 50).
• FESS (Performed: 50).
• Facial function procedures (Performed: 10).
• Mucosal diseases including HHT/Vasculitis (Performed: 30).
• Septoplasty (Performed: 30).

Based at: University Hospitals Birmingham NHS Foundation Trust

Surgical Specialty Association approving: ENT UK

Approval period: June 2021 - May 2024

Supervisor / Lead Consultant: Mr Mriganka De, Head Neck Consultant, Deputy Clinical Service Lead at the Trust

Fellowship duration: 12 months

Stated learning outcomes:

• Able to diagnose and treat common thyroid and parathyroid related conditions
• Able to perform independent thyroid and parathyroid surgery
• Completion of relevant research projects

Clinical competencies to be achieved:

• Able to diagnose and manage patients with surgical thyroid disorders in the clinic
• Contribute to the discussion of the cases in the Thyroid MDT
• Perform routine thyroid surgeries independently
• Able to tackle common post-operative complications after thyroid procedures

Number of main operations the fellow could expect to be involved in:

• Hemi / Total thyroidectomy – 50 as a Primary surgeon
• Neck dissection – 10 as a Primary surgeon
• Parathyroidectomies – 10 as a primary surgeon

Fellows awarded Fellowship Certificate (dates of Fellowship):

• Rohan Bidaye (Jul 20 - Jul 21)
• Rodney Rodrigues (Aug 21 - Jul 22)
• Eyad shitawi (Aug 23 - Sep 24)

Based at: Lister Hospital, East and North Hertfordshire NHS Trust

Surgical Specialty Association approving: ENT UK

Approval period: Initially approved December 2022 – November 2025

Supervisor / Lead Consultant: Mr George Mochloulis, Consultant Otolaryngologist, Head and Neck Surgeon at Lister Hospital, East and North Hertfordshire NHS Trust

Fellowship duration: 12 months

Stated learning outcomes:

• Able to manage common thyroid and parathyroid diseases.
• Able to perform thyroid and parathyroid operations competently.
• Involvement in relevant research projects.

Clinical competencies to be achieved:

• Competent in performing thyroid/ parathyroid surgery independently.
• Able to diagnose and manage common thyroid and parathyroid conditions.
• Able to perform thyroid and parathyroid operations (with minimal assistance).
• Competent communicator both with staff and patients, including breaking bad news.

Number of main operations the fellow could expect to be involved in:

• 12 thyroidectomies (of which 100 as first surgeon)
• 20 parathyroidectomies/ 4 gland explorations (of which 15 as first surgeon)
• 40 neck dissections (of which 30 as first surgeon)

Fellows awarded Fellowship Certificate (dates of Fellowship):

• Purnima Sangwan (Jan 23 - Jan 24)
• Carlos Galan (Jan 23 - Jan 24)
  
  

Based at: Royal Berkshire NHS Foundation Trust, Reading

Surgical Specialty Association approving: ENT UK

Approval period: First approved July 2018 / Reapproved October 2021 - September 2024 / Reapproved March 2025 - February 2028

Supervisor / Lead Consultant: Mr Sidhartha Nagala, Consultant ENT Surgeon with Co-supervisor Mr Matthew Cherko, Consultant ENT Surgeon

Fellowship duration: 12 months

Stated learning outcomes:

• Able to diagnose and treat common thyroid and parathyroid related conditions.
• Able to perform thyroid and parathyroid operations (with minimal assistance).
• Involvement in and/or completion of relevant research projects.

Clinical competencies to be achieved:

• Ability to diagnose common thyroid and parathyroid conditions.
• Able to perform thyroid and parathyroid operations (with minimal assistance).
• Demonstrate communication skills with staff and patients including breaking bad news.

Number of main operations the fellow could expect to be involved in:

Supervisor: 'As a primary operating surgeon we would expect the fellow to perform a minimum of 50 operations. This would be broken down into 40 thyroid and 10 parathyroid operations.'

Fellows awarded Fellowship Certificate (dates of Fellowship):

• Dilip Nair (Oct 2018 - Nov 2019)
• Shivanthi Kandiah (Jan 20 - Jan 21)
• Mahmoud El Sayed (Jan 22 - Jan 23)